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OMSITE 2025 Exam – Practice Questions & Answers Review Set (Oral & Maxillofacial Surgery Board Prep PDF)

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This OMSITE 2025 Exam Practice Questions PDF is a comprehensive board preparation resource designed to support oral and maxillofacial surgery residents in their exam revision. It includes structured practice questions with detailed answers covering key OMFS topics such as oral pathology, trauma management, surgical principles, anesthesia considerations, and patient assessment. The material is designed to strengthen clinical reasoning, reinforce high-yield concepts, and improve performance under timed exam conditions. Ideal for OMSITE and OMFS board candidates, this guide simplifies complex surgical knowledge into clear, exam-focused practice material for efficient and effective revision.

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OMSITE

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OMSITE 2025 Actual
exam (Testing Real Exam
Questions)


(2026 Expert-Verified Final
Exam Q & A )

Latest Updated Version
(A+ Guaranteed )

,Distributive What type of shock in child shows hypotension but no tachycardia?




ACE inhibitor What agent is responsible for excessive hypotension with induction dose of
propofol?



Pattern and orientation of screws What is the most important determinant of stability of BSSO




1 midline, 2 paramedian, 2 temporal What are the endoscopic brow lift incisions




Layer of skin What does Clarks level measure?




Depth of invasion in mm What does Braslows levels measure?




Describes cervical neck changes with aging for facelift What is the significance of the Dedo classification?




Ascending ramus Intramembranous bone formation occurs in what bone(s)?




Space between implant and abutment What is a micro gap?




Necrotic bone Excessive torque on implant placement leads to what?




Loading What is the most important determinant of failure at one year for immediate implant
placement?



Occlusal trauma What would be responsible for exposure of 6 threads on implant, but patient is
asymptomatic?



Bone loss What is the difference between peri implantitis and peri mucositis?




76 yo male with lung cancer (due to the cancer) What is an absolute contraindication to using bmp2?




Opioid hypoventilation What causes rise in paCO2?




2026

,Airway obstruction Most common pediatric airway emergency?




Pain from tooth root goes to cell bodies in gasserian What represents the 3 neuron pain system?
(trigeminal) ganglion then to nucleus caudalis



PVD What is an indication for plavix?

(also myocardial infarction [and other forms of acute
coronary syndrome] and stroke)


Vascular malformations are present at birth and do no What is the difference between hemangioma and a vascular malformation?
involute

2/3 of hemangiomas are not present at birth and they
involute


Rarely (0% and 6%)below the mandible anterior to the What are anatomical features of the facial nerve?
facial vessels, 1.5 cm (OMSITE 2006 says 1-1.2cm) below
the angle of the mandible


Coagulative phase Dry socket is due to an error in what stage of healing?




Increased FGF Mobility at the mandible fracture site causes what?




Posterior iliac crest A 10cm continuity defect after mandibular resection would best be reconstructed
using bone graft from which location?



Medial because it avoids vital structures Which approach is preferred of tibial approach?




Stains red and differentiates between mucin producing A mucicarmine stain is what color and has what significance?
tumors such as mucoepidermoid carcinoma and those that
do not such as SCCa


Schwannoma Is a lady's lesion on pathological review has s100+, spindle cells, two different kinds
and of cellular orientation what is the lesion? What are the cellular orientations?
Antoni A, Antoni B


Segmental resection of proximal and distal ends How does one treat IAN after injury?




Transcervical Approach to mediastinum to I&D neck fast?




Odontogenic myxoma Soap bubble radiolucency in the mandible of a 20's male with painless expansion?




2026

, Stripping of tensor fascia lata Why would any individual experience gait disturbance after AICBG?




Zygomaticomaxillary buttresses What is the primary resistance to transverse widening in the SARPE?




Zygomaticomaxillary What is the most important place to put plate for stability of ZMC fracture?




Widening of the lower face A patient with 2 condylar fractures and symphysis fracture will likely experience
what physical changes?



Short condyles What feature is seen in high mandibular plane angle?




Curve of Spee Most important anatomical consideration for a long BSSO?




Place casts into class I canine occlusion What is the most accurate way to measure transverse maxillary discrepancy for
orthographic surgery?



Medial canthal line to canines What is the best way to assess maxillary occlusal cant?




Hematoma from sublingual branch of lingual artery Patient presents to ED with FOM swelling following tori removal, what is the most
likely etiology?



Plunging ranula Which of the following poses the greatest airway risk?




Fluid accumulation in the lateral pharyngeal space What is the most dangerous complication of arthrocentesis?




Type I and II TMJ disc is composed of which types of collagen?




At least 2mm residual keratinized tissue How much residual gingival tissue should remain when planning esthetic crown
lengthening?



Allows for larger transverse movements What is the advantage of a SARPE?




Anterior, inferior and medial (AIM) Which direction should the osteotomies of pterygoid plates be positioned?




2026

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